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Showing codes 1699743922 — 1831167170
1699743922 -
CYNTHIA
RENEE
DAY
A.P.N.
Other Name
:
Mailing Address
:
PO BOX 397
PLAINVIEW
AR
72857-0397
Phone
: 479-272-4236;
Fax
: 479-272-4424;
Practice Location Address
:
102 NORTH GARFIELD
,
, PLAINVIEW
, AR
, 72857
Practice Phone
: 479-272-4236;
Practice Fax
: 479-272-4424
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1508834839 -
LOURDES
DELGADO-SERRANO
MD
Other Name
:
LOURDES
SERRANO
Mailing Address
:
1 ILLINI DR
PEORIA
IL
61605-2576
Phone
: 309-671-8503;
Fax
: ;
Practice Location Address
:
DEPT OF PEDIATRICS
, 320 E ARMSTRONG
, PEORIA
, IL
, 61603
Practice Phone
: 309-624-9587;
Practice Fax
:
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1417925744 -
DR.
DR.
JILL
M.
GOTOFF
M.D.
Other Name
:
Mailing Address
:
100 N ACADEMY AVE
CREDENTIALS DEPT
DANVILLE
PA
17822-4903
Phone
: 570-271-6144;
Fax
: ;
Practice Location Address
:
100 N ACADEMY AVE
,
, DANVILLE
, PA
, 17822-1405
Practice Phone
: 570-271-6012;
Practice Fax
: 570-271-7923
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1326016650 -
MR.
MR.
JOSEPH
P.
PRASEK
MD
Other Name
:
Mailing Address
:
111 10TH STREET E
DELL RAPIDS
SD
57022-1208
Phone
: 605-428-5446;
Fax
: ;
Practice Location Address
:
111 10TH STREET E
,
, DELL RAPIDS
, SD
, 57022-1208
Practice Phone
: 605-428-5446;
Practice Fax
:
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1235107566 -
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Other Name
:
Mailing Address
:
5767 W CENTURY BLVD STE 400
LOS ANGELES
CA
90045-5631
Phone
: 310-301-8707;
Fax
: ;
Practice Location Address
:
200 MEDICAL PLAZA
, SUITE 365,530,420,250,120,214
, LOS ANGELES
, CA
, 90095-0001
Practice Phone
: 310-794-1276;
Practice Fax
:
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1144298472 -
MS.
MS.
LINDA
SHARON
ASHE
PA-C
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: 904-244-3199;
Fax
: 904-244-3425;
Practice Location Address
:
655 W 8TH ST
, UFJP PEDIATRICS NICU
, JACKSONVILLE
, FL
, 32209-6511
Practice Phone
: 904-244-5100;
Practice Fax
: 904-244-3028
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1053389387 -
MS.
MS.
MARY
JANE
THARP BRENNAN
LPC, CAC, CEAP
Other Name
:
Mailing Address
:
3610 CHERRY ST
ERIE
PA
16508-2608
Phone
: 814-459-5088;
Fax
: 814-453-7545;
Practice Location Address
:
3610 CHERRY ST
,
, ERIE
, PA
, 16508-2608
Practice Phone
: 814-459-5088;
Practice Fax
: 814-453-7545
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1962470294 -
DR.
DR.
PORNPIMOL
RIANTHAVORN
M.D.
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
940 NE 13TH ST
, 2B2309
, OKLAHOMA CITY
, OK
, 73104-5008
Practice Phone
: 405-271-4409;
Practice Fax
:
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1871561100 -
TINH
HUA
DO
Other Name
:
ALLISON
HUA
Mailing Address
:
1210 GLENAYRE DR
NEENAH
WI
54956-4210
Phone
: ;
Fax
: ;
Practice Location Address
:
401 BICENTENNIAL WAY
,
, SANTA ROSA
, CA
, 95403-2149
Practice Phone
: 707-800-5897;
Practice Fax
:
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1780652016 -
TOTAL RENAL CARE INC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4593;
Fax
: 800-293-5872;
Practice Location Address
:
1871 N PINE ISLAND RD
,
, PLANTATION
, FL
, 33322-5208
Practice Phone
: 954-916-8958;
Practice Fax
: 954-916-8960
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1487622718 -
DAVID
CHANG
Other Name
:
Mailing Address
:
7650 RIVER RD
STE 300
NORTH BERGEN
NJ
07047-6527
Phone
: 201-224-8831;
Fax
: ;
Practice Location Address
:
7650 RIVER RD STE 300
,
, NORTH BERGEN
, NJ
, 07047-6527
Practice Phone
: 201-520-1919;
Practice Fax
: 201-453-2782
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1295703528 -
BRENDA
MILLER
CRNA
Other Name
:
Mailing Address
:
3601 W 13 MILE RD
400 FSC - PCS
ROYAL OAK
MI
48073-6769
Phone
: 248-423-3144;
Fax
: ;
Practice Location Address
:
3601 W 13 MILE RD
, 400 FSC - PCS
, ROYAL OAK
, MI
, 48073-6769
Practice Phone
: 248-423-3144;
Practice Fax
:
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1902874217 -
DR.
DR.
DONNA
R
KONICK
O.D.
Other Name
:
Mailing Address
:
1045 JAMES ST
SYRACUSE
NY
13203-2730
Phone
: 315-413-7692;
Fax
: 315-422-3068;
Practice Location Address
:
1045 JAMES ST
,
, SYRACUSE
, NY
, 13203-2730
Practice Phone
: 315-413-7692;
Practice Fax
: 315-422-3068
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1811965122 -
JOHN
D
DAY
MD
Other Name
:
Mailing Address
:
PO BOX 741729
ATLANTA
GA
30374-1729
Phone
: ;
Fax
: ;
Practice Location Address
:
1160 E 3900 S STE 2000
,
, SALT LAKE CITY
, UT
, 84124-1236
Practice Phone
: 801-266-3418;
Practice Fax
: 801-266-4174
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1720056039 -
JOSEPH
E
LEONARD
MD
Other Name
:
Mailing Address
:
4200 W MEMORIAL RD
STE 606
OKLAHOMA CITY
OK
73120-9350
Phone
: 405-755-1930;
Fax
: 405-755-2313;
Practice Location Address
:
3650 W ROCK CREEK RD
, STE 110
, NORMAN
, OK
, 73072-2202
Practice Phone
: 405-364-2666;
Practice Fax
: 405-364-9627
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1639147945 -
SARAI
YATES
ATC
Other Name
:
Mailing Address
:
201 S 14TH ST
HERRIN
IL
62948-3631
Phone
: ;
Fax
: ;
Practice Location Address
:
201 S 14TH ST
,
, HERRIN
, IL
, 62948-3631
Practice Phone
: 618-988-6131;
Practice Fax
: 618-351-4928
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1548238850 -
VICTORIA
M
MCMEEN
MD
Other Name
:
Mailing Address
:
PO BOX 22487
GREEN BAY
WI
54305-2487
Phone
: 920-445-7222;
Fax
: 920-445-7289;
Practice Location Address
:
519 S MONROE AVE
,
, GREEN BAY
, WI
, 54301-4017
Practice Phone
: 920-435-6601;
Practice Fax
: 920-436-3840
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1457329765 -
DR.
DR.
VICKI
LYNN
RHODES
MD
Other Name
:
Mailing Address
:
8110 NATURES WAY
UNIT 28
LAKEWOOD RANCH
FL
34202-3100
Phone
: 904-304-0078;
Fax
: ;
Practice Location Address
:
3100 E FLETCHER AVE
,
, TAMPA
, FL
, 33613-4613
Practice Phone
: 813-467-4242;
Practice Fax
: 813-467-4243
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1447228762 -
DR.
DR.
JEFFREY
L
WEINBERG
M.D.
Other Name
:
Mailing Address
:
9555 GROSS POINT RD
SKOKIE
IL
60076-1356
Phone
: 847-679-3411;
Fax
: ;
Practice Location Address
:
9555 GROSS POINT RD
,
, SKOKIE
, IL
, 60076-1356
Practice Phone
: 847-679-3411;
Practice Fax
:
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1356319677 -
MR.
MR.
JOSEPH
EDWARD
MANNO
Other Name
:
Mailing Address
:
3130 VICTORIA BLVD
HAMPTON
VA
23661-1544
Phone
: 757-727-1172;
Fax
: 757-727-1185;
Practice Location Address
:
3130 VICTORIA BLVD
,
, HAMPTON
, VA
, 23661-1544
Practice Phone
: 757-727-1172;
Practice Fax
: 757-727-1185
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1265400584 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1174591499 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1083682306 -
MS.
MS.
CLARE
ELLEN
BLACKBURN
LPC, LMFT
Other Name
:
Mailing Address
:
5700 N PORTLAND AVE
STE. 315
OKLAHOMA CITY
OK
73112-1662
Phone
: 405-949-2593;
Fax
: 405-942-1633;
Practice Location Address
:
5700 N PORTLAND AVE
, STE. 315
, OKLAHOMA CITY
, OK
, 73112-1662
Practice Phone
: 405-949-2593;
Practice Fax
: 405-942-1633
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1891763116 -
DR.
DR.
RICHARD
EDWIN
LANDECK
D.C., C.AD.
Other Name
:
Mailing Address
:
631 ALLENWOOD LOOP
THE VILLAGES
FL
32162-1004
Phone
: 352-552-4163;
Fax
: ;
Practice Location Address
:
631 ALLENWOOD LOOP
, HOUSE CALLS ONLY NOT AT THIS LOCATION
, THE VILLAGES
, FL
, 32162-1004
Practice Phone
: 352-552-4163;
Practice Fax
:
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1700854023 -
KENNETH
W
SHEWELL
MD
Other Name
:
Mailing Address
:
PO BOX 8657
SAINT JOSEPH
MO
64508-8657
Phone
: 816-866-5105;
Fax
: 816-207-0454;
Practice Location Address
:
2600 MILLER ST
,
, BETHANY
, MO
, 64424-2701
Practice Phone
: 660-425-0253;
Practice Fax
:
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1619945938 -
DR.
DR.
DARIN
L
WRIGHT
MD
Other Name
:
Mailing Address
:
91-2135 FORT WEAVER RD FL 3
EWA BEACH
HI
96706-1940
Phone
: 808-691-3352;
Fax
: 808-691-3355;
Practice Location Address
:
1218 9TH ST STE 10
,
, RUPERT
, ID
, 83350-2207
Practice Phone
: 208-434-8420;
Practice Fax
: 208-436-1665
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1841268166 -
DINA
FARRELL
MD
Other Name
:
Mailing Address
:
346 GRAND AVE
UNITED MEDICAL ASSOC PC
JOHNSON CITY
NY
13790
Phone
: 607-770-0025;
Fax
: 607-729-3982;
Practice Location Address
:
33-57 HARRISON ST
,
, JOHNSON CITY
, NY
, 13790
Practice Phone
: 607-763-6412;
Practice Fax
:
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1750359071 -
MOHSEN
IBRAHIM
ALI
MD
Other Name
:
Mailing Address
:
1330 W COVINA BLVD
SUITE 103
SAN DIMAS
CA
91773-3200
Phone
: 909-592-2145;
Fax
: 909-599-6217;
Practice Location Address
:
1330 W COVINA BLVD
, SUITE 103
, SAN DIMAS
, CA
, 91773-3200
Practice Phone
: 909-592-2145;
Practice Fax
: 909-599-6217
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1669440988 -
JAMES
CHENG-SHIN
HO
MD
Other Name
:
Mailing Address
:
1330 SAN BERNARDINO RD STE G
UPLAND
CA
91786-4980
Phone
: 909-755-0622;
Fax
: 909-931-3627;
Practice Location Address
:
1330 SAN BERNARDINO RD STE G
,
, UPLAND
, CA
, 91786-4980
Practice Phone
: 909-755-0622;
Practice Fax
: 909-931-3627
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1578531893 -
MARJORIE
B
SAGONDA
CRNA
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI 236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
920 STANTON L YOUNG BLVD
, WP 2530
, OKLAHOMA CITY
, OK
, 73104-5020
Practice Phone
: 405-271-4351;
Practice Fax
:
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1487622700 -
MR.
MR.
ADAM
MICHAEL
BOYD
CRNA
Other Name
:
Mailing Address
:
1187 CEDAR BAY RD
JACKSONVILLE
FL
32218-4938
Phone
: 904-509-7096;
Fax
: ;
Practice Location Address
:
1187 CEDAR BAY RD
,
, JACKSONVILLE
, FL
, 32218-4938
Practice Phone
: 904-509-7096;
Practice Fax
:
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1295703510 -
ERICH
AWENDER
MD
Other Name
:
Mailing Address
:
1045 W STEPHENSON ST
PO BOX 857
FREEPORT
IL
61032-4864
Phone
: ;
Fax
: ;
Practice Location Address
:
1045 W STEPHENSON ST
,
, FREEPORT
, IL
, 61032-4864
Practice Phone
: 815-599-6000;
Practice Fax
:
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1104894427 -
ARUNACHALAM
JOTHIVIJAYARANI
M.D.
Other Name
:
A.
JOTHIVIJAYARANI
Mailing Address
:
4216 CORTEZ RD W
BRADENTON
FL
34210-3121
Phone
: 941-527-9929;
Fax
: 941-500-3113;
Practice Location Address
:
4216 CORTEZ RD W
,
, BRADENTON
, FL
, 34210-3121
Practice Phone
: 941-500-3100;
Practice Fax
: 941-500-3113
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1013985332 -
DR.
DR.
JOSE
E
SANTORO
MD
Other Name
:
Mailing Address
:
5630 HOLLYWOOD BLVD
HOLLYWOOD
FL
33021-6351
Phone
: 757-672-4240;
Fax
: ;
Practice Location Address
:
5630 HOLLYWOOD BLVD
,
, HOLLYWOOD
, FL
, 33021-6351
Practice Phone
: 757-672-4240;
Practice Fax
:
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1922076249 -
DR.
DR.
JOE
A
DEAN
MD
Other Name
:
Mailing Address
:
500 KELL WEST BLVD
SUITE 400
WICHITA FALLS
TX
76310-1612
Phone
: 940-322-1888;
Fax
: ;
Practice Location Address
:
500 KELL WEST BLVD
, SUITE 400
, WICHITA FALLS
, TX
, 76310-1612
Practice Phone
: 940-322-1888;
Practice Fax
:
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1194793414 -
RONALD
A
MARTINO
MD
Other Name
:
Mailing Address
:
PO BOX 73410
FAIRBANKS
AK
99707-3410
Phone
: 800-478-4091;
Fax
: 907-770-2341;
Practice Location Address
:
1919 LATHROP ST
, STE 220
, FAIRBANKS
, AK
, 99701-5942
Practice Phone
: 907-452-1739;
Practice Fax
: 907-452-2384
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1003884321 -
LOREN
J
JENSEN
MD
Other Name
:
Mailing Address
:
PO BOX 241769
ANCHORAGE
AK
99524-1769
Phone
: 907-770-2380;
Fax
: 907-770-2341;
Practice Location Address
:
4100 LAKE OTIS PKWY
, SUITE 314
, ANCHORAGE
, AK
, 99508-5231
Practice Phone
: 907-274-2425;
Practice Fax
: 907-274-2428
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1912975236 -
KADIR
MANSUR
MD
Other Name
:
Mailing Address
:
705 WELLS RD STE 300
ORANGE PARK
FL
32073-2982
Phone
: 904-282-6331;
Fax
: 904-619-1080;
Practice Location Address
:
14540 OLD SAINT AUGUSTINE RD STE 2397
,
, JACKSONVILLE
, FL
, 32258
Practice Phone
: 904-296-0670;
Practice Fax
: 904-296-0698
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1821066143 -
CECILIA
AMAN
LADINES
M.D.
Other Name
:
Mailing Address
:
700 8TH AVE W
SUITE 101
PALMETTO
FL
34221-4737
Phone
: 941-776-4008;
Fax
: 941-845-4963;
Practice Location Address
:
6040 STATE ROAD 70 E
,
, BRADENTON
, FL
, 34203-9720
Practice Phone
: 941-366-2273;
Practice Fax
: 941-953-6500
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1730157058 -
ANDREA
M
PEZZELLA
MD
Other Name
:
Mailing Address
:
109 MIDLANDS CT
SUITE A
WEST COLUMBIA
SC
29169-3456
Phone
: 803-457-7000;
Fax
: 803-457-7001;
Practice Location Address
:
115 MIDLANDS CT
,
, WEST COLUMBIA
, SC
, 29169-3456
Practice Phone
: 803-457-7000;
Practice Fax
: 803-457-7001
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1649248964 -
MS.
MS.
JOY
COBURN
ELLIOTT
CRNA
Other Name
:
JOY
MARIE
COBURN
Mailing Address
:
851 TRAFALGAR COURT
SUITE 200E
MAITLAND
FL
32751
Phone
: 407-667-0444;
Fax
: 407-667-4338;
Practice Location Address
:
655 W 8TH ST
, UFJP ANESTHESIA DEPT.
, JACKSONVILLE
, FL
, 32209-6511
Practice Phone
: 904-393-5582;
Practice Fax
: 904-244-4908
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1558339879 -
MOHANAD
SHUKRY
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI 236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
750 NE 13TH ST
, OAC 200
, OKLAHOMA CITY
, OK
, 73104-5010
Practice Phone
: 405-271-4351;
Practice Fax
: 405-271-8695
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1467420786 -
GREGORY
MARK
BALL
MSPT
Other Name
:
Mailing Address
:
1425 EAST MAIN ST
STE 600
FREDERICKSBURG
TX
78624
Phone
: 830-990-2699;
Fax
: 830-990-9088;
Practice Location Address
:
1425 EAST MAIN ST
, STE 600
, FREDERICKSBURG
, TX
, 78624
Practice Phone
: 830-990-2699;
Practice Fax
: 830-990-9088
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1275501595 -
CHARLES
WARD
VAN WAY
III
M.D.
Other Name
:
Mailing Address
:
2310 HOLMES ST
STE 800
KANSAS CITY
MO
64108-2634
Phone
: 816-218-2500;
Fax
: 816-421-7379;
Practice Location Address
:
2301 HOLMES ST
,
, KANSAS CITY
, MO
, 64108
Practice Phone
: 816-404-0099;
Practice Fax
:
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1184692402 -
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1093783326 -
ARTHUR
BERNARD
LANDRY
JR.
M.D.
Other Name
:
Mailing Address
:
711 COTTAGE GROVE RD
COTTAGE GROVE CARDIOLOGY
BLOOMFIELD
CT
06002-3060
Phone
: 860-242-8756;
Fax
: 860-769-5009;
Practice Location Address
:
711 COTTAGE GROVE RD
, COTTAGE GROVE CARDIOLOGY
, BLOOMFIELD
, CT
, 06002-3060
Practice Phone
: 860-242-8756;
Practice Fax
: 860-769-5009
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1902874233 -
DR.
DR.
JAMES
C
RAZI
M.D.
Other Name
:
Mailing Address
:
PO BOX 1728
CLEARWATER
FL
33757-1728
Phone
: 727-532-0002;
Fax
: 727-266-4928;
Practice Location Address
:
211 RANCHERA ST NW
,
, LIVE OAK
, FL
, 32064-4866
Practice Phone
: 386-364-1751;
Practice Fax
: 386-364-1761
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1811965148 -
KALPANA
PETHE
MD
Other Name
:
Mailing Address
:
3959 BROADWAY
NEW YORK
NY
10032-1559
Phone
: 212-305-6227;
Fax
: ;
Practice Location Address
:
300 LONGWOOD AVE
, PRIMARY CARE CENTER
, BOSTON
, MA
, 02115-5724
Practice Phone
: 617-355-6518;
Practice Fax
: 617-730-0505
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1720056054 -
DOROTA
J
WALEWICZ
M.D.
Other Name
:
Mailing Address
:
5405 W 151ST ST
LEAWOOD
KS
66224-8700
Phone
: 913-323-8830;
Fax
: 913-323-8831;
Practice Location Address
:
5405 W 151ST ST
,
, LEAWOOD
, KS
, 66224-8700
Practice Phone
: 913-323-8830;
Practice Fax
: 913-323-8831
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1639147960 -
ANDREW
J
WALFORD
MD
Other Name
:
Mailing Address
:
400 BEACH DR NE UNIT 2103
ST PETERSBURG
FL
33701-3074
Phone
: 727-623-0455;
Fax
: ;
Practice Location Address
:
10080 BALAYE RUN DR
,
, TAMPA
, FL
, 33619-7902
Practice Phone
: 813-490-6100;
Practice Fax
:
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1548238876 -
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:
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Phone
: ;
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: ;
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,
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: ;
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:
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1457329781 -
DR.
DR.
JOHN
ROBERT
MUIR
M.D.
Other Name
:
Mailing Address
:
7777 FOREST LANE
SUITE B238
DALLAS
TX
75230-6814
Phone
: 972-566-6100;
Fax
: 972-566-6297;
Practice Location Address
:
7777 FOREST LANE
, SUITE B238
, DALLAS
, TX
, 75230-6814
Practice Phone
: 972-566-6100;
Practice Fax
: 972-566-6297
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1366410698 -
LAMONT
G
WEIDE
M.D., PH.D., F.A.C.E
Other Name
:
Mailing Address
:
2310 HOLMES ST
STE 800
KANSAS CITY
MO
64108-2634
Phone
: 816-404-4070;
Fax
: 816-421-7379;
Practice Location Address
:
2310 HOLMES ST
, STE 800
, KANSAS CITY
, MO
, 64108-2634
Practice Phone
: 816-404-4070;
Practice Fax
: 816-421-7379
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1275501504 -
MS.
MS.
LINDA
J
DONDLINGER
CRNA
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: 904-244-3199;
Fax
: 904-244-3425;
Practice Location Address
:
655 W 8TH ST
, UFJP ANESTHESIA DEPT.
, JACKSONVILLE
, FL
, 32209-6511
Practice Phone
: 904-244-4195;
Practice Fax
: 904-244-4908
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1184692410 -
DIAN
M
WALSTON
PA
Other Name
:
Mailing Address
:
1510 S VIRGINIA AVE
ATOKA
OK
74525-3246
Phone
: 580-889-6621;
Fax
: 580-889-6659;
Practice Location Address
:
1510 S VIRGINIA AVE
,
, ATOKA
, OK
, 74525-3246
Practice Phone
: 580-889-6621;
Practice Fax
: 580-889-6659
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1992773220 -
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: ;
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: ;
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1801864137 -
DR.
DR.
MICHAEL
PRESTON
ZAHALSKY
M.D., P.A.
Other Name
:
MICHAEL
P
ZAHALSKY
Mailing Address
:
5850 CORAL RIDGE DRIVE
SUITE 106
CORAL SPRINGS
FL
33076-1600
Phone
: 954-714-8200;
Fax
: 954-840-2626;
Practice Location Address
:
5850 CORAL RIDGE DR
, SUITE 106
, CORAL SPRINGS
, FL
, 33076-3378
Practice Phone
: 954-714-8200;
Practice Fax
: 954-840-2626
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1821066168 -
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:
Mailing Address
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Phone
: ;
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: ;
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:
,
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: ;
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:
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1730157074 -
E
RANDY
EICHNER
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI 236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
825 NE 10TH ST
, OUPB 5200
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-8299;
Practice Fax
:
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1649248980 -
JAMES
A
ROYALL
MD
Other Name
:
Mailing Address
:
7974 UW HEALTH CT
MIDDLETON
WI
53562-5531
Phone
: ;
Fax
: ;
Practice Location Address
:
600 HIGHLAND AVE
,
, MADISON
, WI
, 53792-0001
Practice Phone
: 608-263-6420;
Practice Fax
:
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1558339895 -
MR.
MR.
KYLER
EVERETT
MEERS
MSW LICSW
Other Name
:
Mailing Address
:
29038 KEPLER CIR
COLD SPRING
MN
56320-9620
Phone
: 320-685-7158;
Fax
: 320-685-4510;
Practice Location Address
:
29038 KEPLER CIR
,
, COLD SPRING
, MN
, 56320-9620
Practice Phone
: 320-685-7158;
Practice Fax
: 320-685-4510
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1467420703 -
VENUSTO
H
SAN JOAQUIN
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
940 NE 13TH ST
, 1B1409
, OKLAHOMA CITY
, OK
, 73104-5008
Practice Phone
: 405-271-5703;
Practice Fax
:
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1376511618 -
DVA HEALTHCARE RENAL CARE, INC.
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: ;
Fax
: ;
Practice Location Address
:
1711 ALTON RD
,
, MIAMI BEACH
, FL
, 33139-2411
Practice Phone
: 305-695-4175;
Practice Fax
: 305-695-4179
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1285602524 -
ALEXANDER
PANAGOS
MD
Other Name
:
Mailing Address
:
421 W EXCHANGE ST
PO BOX 857
FREEPORT
IL
61032-4030
Phone
: 815-599-7958;
Fax
: ;
Practice Location Address
:
1045 W STEPHENSON ST
,
, FREEPORT
, IL
, 61032-4864
Practice Phone
: 815-599-6000;
Practice Fax
:
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1093783334 -
DR.
DR.
SCOTT
LEE
SILLIMAN
MD
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: ;
Fax
: ;
Practice Location Address
:
580 W 8TH ST
, UFJP NEUROLOGY
, JACKSONVILLE
, FL
, 32209-6533
Practice Phone
: 904-244-3960;
Practice Fax
: 904-244-9493
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1902874241 -
KAPIL
SAXENA
MD
Other Name
:
Mailing Address
:
300 LONGWOOD AVE # FEGAN707
CHILDREN'S HOSPITAL BOSTON
BOSTON
MA
02115-5724
Phone
: 617-355-4977;
Fax
: ;
Practice Location Address
:
300 LONGWOOD AVE # FEGAN707
, CHILDREN'S HOSPITAL BOSTON
, BOSTON
, MA
, 02115-5724
Practice Phone
: 617-355-4977;
Practice Fax
:
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1811965155 -
DR.
DR.
ERICH
TYRONE
WYCKOFF
MD
Other Name
:
Mailing Address
:
6440 W NEWBERRY RD STE 508
GAINESVILLE
FL
32605-8303
Phone
: 352-792-6123;
Fax
: 352-792-6138;
Practice Location Address
:
6440 W NEWBERRY RD STE 508
,
, GAINESVILLE
, FL
, 32605-8303
Practice Phone
: 352-792-6123;
Practice Fax
: 352-792-6138
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1720056062 -
TOTAL RENAL CARE INC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4593;
Fax
: 800-293-5872;
Practice Location Address
:
4401 HOLLYWOOD BLVD
,
, HOLLYWOOD
, FL
, 33021-6609
Practice Phone
: 954-962-2211;
Practice Fax
: 954-964-3546
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1639147978 -
MS.
MS.
DEANNA
A
LEEDOM
CRNA
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: 904-244-3199;
Fax
: 904-244-3425;
Practice Location Address
:
655 W 8TH ST
, UFJP ANESTHESIA DEPT.
, JACKSONVILLE
, FL
, 32209-6511
Practice Phone
: 904-244-4195;
Practice Fax
: 904-244-4908
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1548238884 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1457329799 -
DVA RENAL HEALTHCARE INC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
ATT: L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4593;
Fax
: 800-293-5872;
Practice Location Address
:
1117 ARLINGTON AVE N
,
, ST PETERSBURG
, FL
, 33705-1521
Practice Phone
: 727-896-9029;
Practice Fax
: 727-896-7269
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1366410607 -
KRISHNAMURTHY
C
SEKAR
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
1200 EVERETT DR
, 7TH FLOOR NORTH PAVILION
, OKLAHOMA CITY
, OK
, 73104-5047
Practice Phone
: 405-271-5215;
Practice Fax
: 405-271-1236
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1275501512 -
NORTHWEST KANSAS SURGERY CENTER, LLC
Other Name
:
Mailing Address
:
1904 E 29TH STREET
HAYS
KS
67601-2008
Phone
: 785-650-0600;
Fax
: 785-650-0143;
Practice Location Address
:
1904 E 29TH STREET
,
, HAYS
, KS
, 67601-2008
Practice Phone
: 785-650-0600;
Practice Fax
: 785-650-0143
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1184692428 -
DR.
DR.
RICHARD
O'NEAL
LYNCH
MD
Other Name
:
Mailing Address
:
PO BOX 3273
NEW BERN
NC
28564-3273
Phone
: 252-514-6594;
Fax
: ;
Practice Location Address
:
1230 US HIGHWAY 70 E
, SUITE 1
, NEW BERN
, NC
, 28560-6616
Practice Phone
: 252-514-6594;
Practice Fax
:
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1992773238 -
MS.
MS.
LORETTA
ANN
SCHNEPEL
ARNP
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: 904-244-3199;
Fax
: 904-244-3425;
Practice Location Address
:
580 W 8TH ST
, UFJP NEUROLOGY
, JACKSONVILLE
, FL
, 32209-6533
Practice Phone
: 904-244-3960;
Practice Fax
: 904-244-3425
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1801864145 -
DVA RENAL HEALTHCARE, INC.
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: ;
Fax
: ;
Practice Location Address
:
2850 34TH ST S
,
, SAINT PETERSBURG
, FL
, 33711-3817
Practice Phone
: 727-864-4050;
Practice Fax
: 727-864-0013
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1154399491 -
DVA HEALTHCARE RENAL CARE, INC.
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: ;
Fax
: ;
Practice Location Address
:
5857 W TENNESSEE ST
,
, TALLAHASSEE
, FL
, 32304-9218
Practice Phone
: 850-350-0002;
Practice Fax
: 850-350-0120
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1063480309 -
PANKAJ
BALUJA
MD
Other Name
:
Mailing Address
:
608 NW 9TH ST STE 4106
OKLAHOMA CITY
OK
73102-1006
Phone
: 405-272-8367;
Fax
: ;
Practice Location Address
:
608 NW 9TH ST STE 4106
,
, OKLAHOMA CITY
, OK
, 73102-1006
Practice Phone
: 405-272-8367;
Practice Fax
:
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1881662120 -
DVA HEALTHCARE RENAL CARE INC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4593;
Fax
: 800-293-5872;
Practice Location Address
:
4515 GEORGE RD
, STE 300
, TAMPA
, FL
, 33634-7300
Practice Phone
: 813-884-4008;
Practice Fax
: 813-884-1465
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1699743930 -
WESTON DIALYSIS CENTER LLC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4593;
Fax
: 800-293-5872;
Practice Location Address
:
2685 EXECUTIVE PARK DR
, STE 1
, WESTON
, FL
, 33331-3651
Practice Phone
: 954-389-1290;
Practice Fax
: 954-384-8207
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1508834847 -
DR.
DR.
MICHAEL
W
SICARD
M.D.
Other Name
:
Mailing Address
:
6035 FAIRVIEW RD
CHARLOTTE
NC
28210-3256
Phone
: 704-295-3000;
Fax
: 704-294-3468;
Practice Location Address
:
6035 FAIRVIEW RD
,
, CHARLOTTE
, NC
, 28210-3256
Practice Phone
: 704-295-3000;
Practice Fax
: 704-294-3468
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1417925751 -
MEERU
DEVAN
FENDT
P.A.
Other Name
:
Mailing Address
:
700 8TH AVE W
STE 101
PALMETTO
FL
34221-4737
Phone
: 941-776-4008;
Fax
: 941-845-4963;
Practice Location Address
:
1949 NORTHGATE BLVD
,
, SARASOTA
, FL
, 34234-2143
Practice Phone
: 941-373-7844;
Practice Fax
: 941-373-7856
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1326016668 -
MRS.
MRS.
ELAINE
SANDRA
YOUMAN
P.T.
Other Name
:
Mailing Address
:
40 BEECHWOOD DR
DARTMOUTH
MA
02748-1513
Phone
: 508-993-6386;
Fax
: ;
Practice Location Address
:
40 BEECHWOOD DR
,
, DARTMOUTH
, MA
, 02748-1513
Practice Phone
: 508-993-6386;
Practice Fax
:
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1235107574 -
NADER
NAJAFIAN
MD
Other Name
:
Mailing Address
:
75 FRANCIS ST
BOSTON
MA
02115-6110
Phone
: 617-975-0840;
Fax
: ;
Practice Location Address
:
BRIGHAM AND WOMANS HOSPITAL IMMUNOGENETICS & TRANSPLANT
, 75 FRANCIS ST PBB ADM 1
, BOSTON
, MA
, 02115
Practice Phone
: 617-732-5868;
Practice Fax
:
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1144298480 -
DVA HEALTHCARE RENAL CARE, INC.
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
ATT: L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: ;
Fax
: ;
Practice Location Address
:
1625 UNITY WAY NW
,
, WINTER HAVEN
, FL
, 33881-2107
Practice Phone
: 863-294-8851;
Practice Fax
: 863-294-5212
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1316915655 -
CATHERINE
H
VALENTINE
MD
Other Name
:
Mailing Address
:
530 1ST AVE STE 7F
NEW YORK
NY
10016-6402
Phone
: 646-501-9831;
Fax
: ;
Practice Location Address
:
530 1ST AVE STE 7F
,
, NEW YORK
, NY
, 10016-6402
Practice Phone
: 646-501-9831;
Practice Fax
:
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1396713632 -
PHILIP
J
HOOD
PA
Other Name
:
Mailing Address
:
307 ASBURY RD
WINCHESTER
VA
22602-7926
Phone
: 540-247-6187;
Fax
: ;
Practice Location Address
:
307 ASBURY RD
,
, WINCHESTER
, VA
, 22602-7926
Practice Phone
: 540-247-6187;
Practice Fax
:
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1205804549 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1114995453 -
CLIFFORD
F
SWEET
MD
Other Name
:
Mailing Address
:
5300 BURNHAM RANCH RD
SANTA ROSA
CA
95404-9519
Phone
: 707-569-9787;
Fax
: ;
Practice Location Address
:
401 BICENTENNIAL WAY
,
, SANTA ROSA
, CA
, 95403-2149
Practice Phone
: 707-569-4740;
Practice Fax
:
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1023086360 -
THERESA
C
THAI
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
940 NE 13TH ST
, 4G4250
, OKLAHOMA CITY
, OK
, 73104-5008
Practice Phone
: 405-271-5125;
Practice Fax
: 405-271-3462
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1932177276 -
MR.
MR.
THEODORE
A
POMARICO
RP
Other Name
:
Mailing Address
:
239 OLD BERGEN RD
JERSEY CITY
NJ
07305-2620
Phone
: 201-434-8062;
Fax
: 201-434-7596;
Practice Location Address
:
239 OLD BERGEN RD
,
, JERSEY CITY
, NJ
, 07305-2620
Practice Phone
: 201-434-8062;
Practice Fax
: 201-434-7596
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1841268182 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1669440905 -
PAUL
V
CARLILE
JR.
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI 274
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: 405-271-7034;
Practice Location Address
:
825 NE 10TH ST
, OUPB 2500
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-7001;
Practice Fax
:
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1578531810 -
VICTOR
C
TISDAL
III
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
1200 EVERETT DR
, 1NP606
, OKLAHOMA CITY
, OK
, 73104-5047
Practice Phone
: 405-271-5068;
Practice Fax
:
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1487622726 -
SHOUVIK
CHAKRABARTY
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI 236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
825 NE 10TH ST
, OUPB 4300
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-3445;
Practice Fax
:
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1295703536 -
FUNDERBURKS PHARMACY INC
Other Name
:
Mailing Address
:
134 W COMMERCE ST
HERNANDO
MS
38632-2240
Phone
: 662-429-5337;
Fax
: ;
Practice Location Address
:
134 W COMMERCE ST
,
, HERNANDO
, MS
, 38632-2240
Practice Phone
: 662-429-5337;
Practice Fax
:
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1104894443 -
DR.
DR.
THOMAS
JOHN
RYAN
MD
Other Name
:
Mailing Address
:
PO BOX 735044
CHICAGO
IL
60673-5044
Phone
: 414-219-6269;
Fax
: 414-964-4977;
Practice Location Address
:
945 N 12TH ST
,
, MILWAUKEE
, WI
, 53233-1305
Practice Phone
: 414-219-6269;
Practice Fax
:
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1013985357 -
DR.
DR.
JORGE
ALVAREZ-MORENO
M.D.
Other Name
:
Mailing Address
:
5558 SW 8TH ST
CORAL GABLES
FL
33134-2220
Phone
: 305-444-0664;
Fax
: 305-444-0668;
Practice Location Address
:
5558 SW 8TH ST
,
, CORAL GABLES
, FL
, 33134
Practice Phone
: 305-444-0664;
Practice Fax
: 305-444-0668
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1922076264 -
MR.
MR.
ANDREW
P
THRASH
R.PH.
Other Name
:
Mailing Address
:
435 LIFE STYLE LN
WILDWOOD
GA
30757-4174
Phone
: 706-419-0023;
Fax
: 706-820-1474;
Practice Location Address
:
435 LIFE STYLE LN
,
, WILDWOOD
, GA
, 30757-4174
Practice Phone
: 706-419-0023;
Practice Fax
: 706-820-1474
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1831167170 -
DORRY
LYNN
GASCON
CRNA
Other Name
:
Mailing Address
:
1840 AMHERST ST
WINCHESTER
VA
22601-2808
Phone
: 540-536-8000;
Fax
: 540-536-7681;
Practice Location Address
:
1840 AMHERST ST
,
, WINCHESTER
, VA
, 22601-2808
Practice Phone
: 540-536-8000;
Practice Fax
: 540-536-7681
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